CPT 00192: Anesthesia for Radical Facial Bones or Skull Surgery
Commercial payers pay $91 on average nationally for this procedure.
CPT code 00192 describes anesthesia services provided for radical surgery on the facial bones or skull, such as extensive corrective procedures for prognathism; the service is an anesthesia procedure typically furnished in an inpatient or outpatient hospital surgical setting or ambulatory surgery center where major craniofacial operations are performed.
For related coverage guidance, see recent payer policy updates: Dental Anesthesia Services, Anesthesia Services for Interventional Pain Management Procedures in an Adult, General Anesthesia and Conscious Sedation Services.
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National Reimbursement Benchmarks
Commercial national rates for CPT 00192 cluster around the BUCA average of $90.90, with payers varying in central tendency: Aetna shows a high mean of $172.10 and a wide spread, while Cigna and Blue Cross Blue Shield have mean/median levels closer to BUCA. UnitedHealth Group’s central tendency ($67.50 mean, $64 median) sits below BUCA, indicating generally lower average reimbursements among the largest payers. Max/min extremes are notable for Aetna ($628.70/$30.10) and Cigna (max $151.60, min $46.00), illustrating upper-tail variability for some commercial contracts.
Dispersion measured by the interquartile range (P75–P25) highlights which payers are tight or wide: Aetna’s IQR is $196.00 (P75 $245.50 minus P25 $49.50), the widest, reflecting substantial contract variability; Cigna’s IQR is $53.30 ($121.10–$68.80) and BUCA’s IQR is $66.70 ($120.00–$53.30), indicating moderate spread; Blue Cross Blue Shield’s IQR is $40.70 and UnitedHealth Group is the tightest at $29.00, suggesting more consistent commercial rates for those payers.